MSM Brigham City LLC

Brigham, UT · 41 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • No standard inspection in over 2 years
  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • 62% total nursing staff turnover

Green Flags

  • 4-star staffing rating

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
13
1.4x state avg
Deficiencies
$40,565
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 17, 2023

13 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0609 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0770 Potential Harm Scope/Severity: D

Administration Deficiencies

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Provide timely, quality laboratory services/tests to meet the needs of residents.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0881 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Implement a program that monitors antibiotic use.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

March 1, 2022

7 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0585 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0603 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

See full violation history →

Staffing

1.19
RN hrs/res/day
0.06
LPN hrs/res/day
2.87
CNA hrs/res/day
4.10
Weekend hrs/res/day
63%
Total nurse turnover
64%
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

  • Fine Dec 17, 2023
    $40,565
  • Payment Denial Dec 17, 2023
    Payment Denial
Total $40,565

Ownership

For profit - Limited Liability company Chain: MISSION HEALTH SERVICES
  • GUNNISON VALLEY HOSPITAL

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 05/01/2014

    100% Organization
  • MSM BRIGHAM CITY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2023

    Organization
  • DUNN, MARC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2023

    Individual
  • LARSEN, GREGORY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2023

    Individual
  • LARSEN, NICHOLAS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2023

    Individual
  • ANDERSEN, JEANETTE

    CORPORATE DIRECTOR

    Since since 01/01/2016

    Individual
  • ANDERSON, STEVE

    CORPORATE DIRECTOR

    Since since 01/01/2015

    Individual
  • BARTHOLOMEW, LAMAR

    CORPORATE DIRECTOR

    Since since 07/01/2014

    Individual
  • BLACKHAM, BRADY

    CORPORATE DIRECTOR

    Since since 07/01/2020

    Individual
  • DYRENG, CASEY

    CORPORATE DIRECTOR

    Since since 01/01/2018

    Individual
  • PICKETT, KIM

    CORPORATE DIRECTOR

    Since since 01/01/2015

    Individual
  • SORENSON, MERRI LYNN

    CORPORATE DIRECTOR

    Since since 05/31/2018

    Individual
  • BARTHOLOMEW, BRENDA

    CORPORATE OFFICER

    Since since 10/01/2021

    Individual
  • MURRAY, BRIAN

    CORPORATE OFFICER

    Since since 05/01/2014

    Individual
  • STURDEVANT, BRANDON

    CONTRACTED MANAGING EMPLOYEE

    Since since 05/01/2014

    Individual